Anthem BCBSMedium ImpactPrior Auth

[Virginia] LTSS Authorization and CC Guide

Published May 6, 2026

AI Summary

Virginia Medicaid has updated their Long-Term Services and Supports (LTSS) authorization and care coordination guide for providers. This affects billing and authorization requirements for home and community-based services, nursing facility care, and other long-term care services in Virginia.

Action Required

Immediately: Billing team and providers must review the updated LTSS Authorization and Care Coordination Guide at the provided URL. Update authorization workflows for long-term services and supports to comply with new Virginia Medicaid requirements. Ensure staff understand revised care coordination processes to avoid claim denials and authorization delays.

Plan Types

Medicaid

States

VA

Specialties

geriatrics, family-medicine, internal-medicine, pm-r, physical-therapy, occupational-therapy

[Virginia] LTSS Authorization and CC Guide | Anthem BCBS | PolicyChanges.app